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The study aims to explore the role of mental health care in remote Aboriginal health services in the Kimberley region of Western Australia and provide a more nuanced understanding of the patients presenting for care, their needs, and the clinical response. Little is currently known about primary health care presentations for mental health, suicide, and self-harm for remote dwelling Aboriginal residents of the Kimberley region, despite high rates of psychological distress, self-harm, and suicide across the area. This study was progressed through a retrospective, cross-sectional audit of the electronic medical records system used by three remote clinics to explore the interactions recorded by the clinics about a patient's mental health. In addition, an in-depth file review was conducted on a stratified purposive sample of 30 patients identified through the audit. Mental ill-health and psychological distress were found to be prominent within clinical presentations. Psychosocial factors were frequently identified in relation to a patient's mental health presentation. Optimizing patients' recovery and wellness through service improvements, including an enhanced mental health model of care, is an important next step.

It is critical that health service evaluation frameworks include Aboriginal people and their cultural worldviews from design to implementation. During a large participatory action research study, Elders, service leaders and Aboriginal and non-Aboriginal researchers co-designed evaluation tools to test the efficacy of a previously co-designed engagement framework. Through a series of co-design workshops, tools were built using innovative collaborative processes that foregrounded Aboriginal worldviews. The workshops resulted in the development of a three-way survey that records the service experiences related to cultural safety from the perspective of Aboriginal clients, their carer/s, and the service staff with whom they work. The surveys centralise the role of relationships in client-service interactions, which strongly reflect their design from an Aboriginal worldview. This paper provides new insights into the reciprocal benefits of engaging community Elders and service leaders to work together to develop new and more meaningful ways of servicing Aboriginal families. Foregrounding relationships in service evaluations reinstates the value of human connection and people-centred engagement in service delivery which are central to rebuilding historically fractured relationships between mainstream services and Aboriginal communities. This benefits not only Aboriginal communities, but also other marginalised populations expanding the remit of mainstream services to be accessed by many.

Objective: Over the last decade, the literature relating to older Aboriginal and Torres Strait Islander people's preferences for social and emotional wellbeing services has grown. However, little evidence exists in relation to older Aboriginal and Torres Strait Islander people's experiences of services relating to social and emotional wellbeing. This paper highlights older Aboriginal and Torres Strait Islander people's experiences of social and emotional wellbeing services in Australia and then uses these key findings of the research, along with the literature, to develop a strength-based approach for service providers. Methods: Yarning was the preferred research method for the older Aboriginal community. In total, 16 older Aboriginal people, including eight women and eight men participated in the research yarning sessions. A modified version of an existing thematic analysis process supported yarning members to participate in each stage of the research, including data analysis. Results: The themes emerging from the voices of the yarning members are they couldn't give a damn about them , You've got to get the right one and ticking the box . The themes focus on negative, positive and preferred experiences of social and emotional wellbeing service provision. Conclusion: The key findings and related literature contribute to the development of a strength-based approach, which supports the implementation of responsive and effective services that address Elders, older peoples and their communities' social and emotional wellbeing issues and aspirations.

Objective: This paper examines the themes of #IHMayDay, a day-long Twitter discussion about Indigenous health led by Aboriginal and Torres Strait Islander peoples on 1 May 2014., Method: The Symplur analytics tool was used to identify the Twitter activity associated with #IHMayDay. This paper reviews the content of 423 tweets that were tweeted and retweeted by 346 individuals and 108 organisations., Results: Issues related to social and emotional wellbeing were dominant, and the analysis highlights the empowering nature of the strengths-based discourse., Conclusions: Twitter-based events such as #IHMayDay and initiatives such as the rotated, curated account @IndigenousX are powerful platforms for learning, exchange, advocacy and dialogue about the social and emotional wellbeing and mental health of Aboriginal and Torres Strait Islander peoples., (© The Royal Australian and New Zealand College of Psychiatrists 2015.)

In May 2020, an independent working party was convened to determine the mental health and well‐being needs of Aboriginal and Torres Strait Islander peoples in Australia, in response to COVID‐19. Thirty Aboriginal and Torres Strait Islander leaders and allies worked together in a two‐month virtual collaboration process. Here, we provide the working party's five key recommendations and highlight the evidence supporting these proposals. Aboriginal and Torres Strait Islander self‐determination and governance must be prioritised to manage the COVID‐19 recovery in Aboriginal and Torres Strait Islander communities. To mitigate long‐term social and economic impacts of COVID‐19 to Australian society, the historical underinvestment in Aboriginal and Torres Strait Islander peoples must be reconciled. Equitable, needs‐based funding is required to support strengths‐based, place‐based initiatives that address the determinants of health. This includes workforce and infrastructure development and effective evaluation. There is a clear, informed pathway to health and healing for Aboriginal and Torres Strait Islander peoples being enacted by Aboriginal and Torres Strait Islander leadership and community organisations; it remains to be seen how these recommendations will be implemented. [ABSTRACT FROM AUTHOR]

Indigenous constructs of wellbeing and wellness vary greatly from the construct of mental health in the Western paradigm of health. Yet Western instruments, validated within Western populations, are often used to assess the wellbeing or mental health of Indigenous peoples. This is to the detriment of the health of Indigenous peoples. To support the decolonisation of the psychology discipline and the psychometric validity of its measurements, it is necessary that Indigenous wellbeing measures are developed that are shaped around the worldviews, values, and aspirations of Indigenous peoples, rather than their Western counterparts. Specifically, Indigenous wellbeing measures must not only align to Indigenous cultural, social, economic, and environmental priorities, but the measurement design must also consider individual, family, tribal, and community needs. Data results should be openly accessed and utilised by Indigenous peoples to benefit the health of Indigenous peoples. Senior Indigenous researchers from Aotearoa (New Zealand), Australia, Canada, and the United States of America, present a collaborative approach to inform the development of a global measure of Indigenous wellbeing. [ABSTRACT FROM AUTHOR]

Indigenous Australian women are among the most disadvantaged women in the world. Over two centuries of colonization have had a damaging impact on perceptions of their gender roles and status as well as many other consequential oppressions. These experiences have affected the social and emotional wellbeing of Indigenous women of all ages, resulting in socio-economic ghettoization, higher suicide rates, psychological distress, illness, and poverty. Generations of women have experienced the forced removal of their children, resulting in complex forms of historical trauma. Despite this, Indigenous women have also maintained strong leadership roles and have kept families and communities intact. In the last few decades, the Australian Indigenous mental health movement has emerged within the context of a broader self-determination movement, restoring and strengthening women’s traditional therapeutic practices. This article offers an overview of the social and emotional wellbeing of Indigenous women within neocolonial Australia and explores women’s relationship to traditional therapeutic practices. Future directions and key issues for the capacity building of Indigenous women’s healing are explored. [ABSTRACT FROM AUTHOR]

Objective Australian Aboriginal and Torres Strait Islander social and emotional wellbeing ( SEWB) is a multifaceted concept that acknowledges that a person's wellbeing is determined by a range of inter-related domains: body, mind and emotions, family and kinship, community, culture, Country, and spirituality. This paper explores the meaning of these seven domains of SEWB. Method A thematic analysis of qualitative data obtained from the National Empowerment Project (NEP) was conducted, along with a literature review of each domain. Results Findings from the NEP, together with relevant literature, indicate that implementing strategies that focus on strengthening SEWB is important for individual, family, and community wellbeing. Addressing the social determinants of Indigenous disadvantage is also shown to have an important role in strengthening the SEWB of individuals, families, and communities. Conclusion It is important for all practitioners and policymakers involved with improving Indigenous health to recognise the seven inter-related domains of SEWB and to acknowledge and support people in addressing the social determinants of wellbeing. [ABSTRACT FROM AUTHOR]

An introduction is presented in which the editor discusses various reports within the issue on topics including online engagement of psychologists to raise community awareness of strategies for decolonisation; principles of justice reinvestment; and maintaining the local culture in remote communities.

Closing the Aboriginal and Torres Strait Islander mental health gap is an urgent national priority. This commentary provides both an overview of Aboriginal and Torres Strait Islander social and emotional well being and mental health and some of the promising initiatives for restoring wellbeing. Solutions for addressing Aboriginal and Torres Strait islander mental health issues require a 'best of both worlds' approach which acknowledges the impact of social and cultural determinants on Aboriginal and Torres Strait Islander wellbeing. [ABSTRACT FROM AUTHOR]

TheGayaa Dhuwi (Proud Spirit) Declarationaims to improve the mental health of Aboriginal and Torres Strait Islander peoples by supporting their leadership in those parts of the mental health system that work with Aboriginal and Torres Strait Islander populations. A further aim is to promote an appropriate balance of clinical and culturally-informed mental health system responses, including by providing access to cultural healing, to mental health problems in Aboriginal and Torres Strait persons. Developed by the National Aboriginal and Torres Strait Islander Leadership in Mental Health (NATSILMH) as a companion document to the internationalWharerātā Declaration, theGayaa Dhuwi (Proud Spirit) Declarationalso sets out principles for governments, professional bodies and other stakeholders to support Aboriginal and Torres Strait Islander leadership in the Australian mental health system; and principles for working with Aboriginal and Torres Strait Islander mental health leaders as they exercise culturally informed leadership within the Australian mental health system. TheGayaa Dhuwi (Proud Spirit) Declarationis being promoted by NATSILMH as a new paradigm for shaping mental health system responses to Aboriginal and Torres Strait islander mental health problems. [ABSTRACT FROM AUTHOR]

This paper is to provide a commentary to Can cognitive behavioural therapy ( CBT) be effective for Aboriginal Australians? Perspectives of Aboriginal practitioners trained in CBT. It is inspiring that this study has found that CBT can play a useful role in therapy for Aboriginal and Torres Strait Islander people but the outcomes need to be considered with caution. CBT can provide a useful tool when working with Aboriginal and Torres Strait Islander people, but in itself is not adequate for a number of reasons. Firstly, it is not culturally responsive but can be part of an approach that might be culturally appropriate. The authors are compelled at this point to give a history of mental health and Aboriginal and Torres Strait Islander people to provide a background context to the discussion and to illustrate why some psychological approaches such as CBT can only ever be part of the tools that might be used in a broader framework, that is required to address and strengthen Aboriginal and Torres Strait Islander people's well-being. [ABSTRACT FROM AUTHOR]